CLIA lab

CLIA 42D2173137: Good Samaritan Medical Clinic

Chester, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 42D2173137 belongs to Good Samaritan Medical Clinic in Chester, SC.

Certificate of Waiver, effective October 7, 2025, expires October 6, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 7, 2025
Certificate expiration
October 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 7, 2019
Facility type
Other
Ownership (control type)
Private
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
42D2173137
Lab name
Good Samaritan Medical Clinic
Address
139 Church Street, Chester, SC 29706
Phone
(803) 385-6332
Fax
(803) 385-3243

Annual test volume the lab reported

Waived tests
52

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Chester, SC

Related

Questions

What is the CLIA number for Good Samaritan Medical Clinic in Chester?

42D2173137, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 42D2173137 expire?

The CMS file lists October 6, 2027 as the certificate expiration date; the certificate took effect October 7, 2025.

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